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| Categories: Types of Diabetes |
| Types of Diabetes |
Additional article for types of Diabetes |
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Gestational diabetes
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This type is also called pregnancy diabetes.
1 to 5 % of all pregnant women do have a heightened blood glucose level during pregnancy which disappear afterwards. This occurs more frequently if the woman is over 30 years old, if she smokes or if she has cases of type 2 diabetes among her relatives. After the age of 26 the risk of gestational diabetes rises about 4 % per year. Between the 24th and 28th week of pregnancy gestational diabetes can be diagnosed for the first time. To be sure a glucose tolerance test can be made. The affected women are especially endangered concerning urinary tract infection and vaginopathy. At the same time the risk of gestational associated hypertonia and preeclampsia. According to statistics, caesarean operations and vaginal caesarean sections have to be applied more frequently if the patient suffers from gestational diabetes.
In 4 % of the cases of pregnancy diabetes the diabetes does not disappear after pregnancy. Furthermore those women carry an increased risk of developing type 2 diabetes. The probability of such a development amounts to 40 or 50%. To avoid malformation and complications a consequent treatment of the diabetes is necessary.
As a treatment with tablets is not possible during pregnancy an insulin therapy should be employed temporarily. But also physical activity and a diet can help to cope with gestational diabetes or at least they support the medical treatment. In case the expected blood glucose level should not be reached after two weeks of roughage-rich and sugar-free diet and moderate physical activity, doctors recommend to start giving insulin. The ideal blood glucose level of a woman suffering from gestational diabetes is similar to the blood glucose level of a pregnant diabetic.
After a pregnancy with a gestational diabetes the glucose metabolism should be checked at least once more after the nursing period.
sources: a.o. Angela Klingner, Gestationsdiabetes adäquat behandeln. In: DiabetesProfi April 2003, pp 48-50
Translated by Jella Eifler |
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in Version 00.08.49